Abstract

OBJECTIVE Few validated measures exist to evaluate self-management of diabetes in families with limited English proficiency. The present
study evaluated the psychometric properties and the factorial equivalence of a Spanish translation of the parent report version
of the Diabetes Self-Management Profile (DSMP-Parent-Sp).

RESEARCH DESIGN AND METHODS Hispanic families of youth (mean 13.7 years old) with type 1 diabetes were recruited from three clinics in South Florida
and represented a wide range of nationalities and acculturation levels. A total of 127 parents reported on their child's self-management
behaviors using either the original DSMP-Parent (59.8%) or the DSMP-Parent-Sp (40.2%). In addition, youth reported their self-management
using the original DSMP in English, and physicians rated their perceptions of the youth's self-management. Glycemic control
was indexed by A1C in the past 3 months and collected from medical chart review.

RESULTS Item analysis confirmed that the DSMP-Parent-Sp items related to the overall composite score in expected ways, and internal
consistency estimates were adequate. Paired correlations demonstrated strong parent-child concordance and a significant relationship
with physician perceptions of self-management. Evidence of concurrent and convergent validity, as well as “strict factorial
invariance,” was demonstrated.

CONCLUSIONS These preliminary findings indicate that the DSMP-Parent-Sp is a reliable and valid parent report measure of the diabetes
self-management behaviors of Hispanic youths. In addition, there is preliminary evidence that the translated measure may be
considered equivalent to the original English measure when used to measure self-management in Hispanic youth with diabetes.

Footnotes

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